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April 2013 Formulary Changes to the Top 10 Medicare Drugs

Category: Monthly Formulary Changes
Published: Apr, 18 2013 01:04:21

The most recent (April 2013) Medicare Part D plan formulary data (or drug lists) updates included 49 new drugs to the Medicare Part D program. As to the top 10 Medicare Part D drugs, Actos® 30 MG has changed package size (now 90 CT) and Pioglitazone 30 MG has been added (generic for Actos®)
We have chosen to include Altorvastatin, Clopidogrel, Escitalopram, Pioglitazone, and  Quetiapine Fumarate to the list of Top 10 Medicare Drugs, so our list actually includes 15 drugs -- Lipitor® with it’s generic equivalent Atorvastatin and Escitalopram for Lexapro®, Clopidogrel for Plavix®, Pioglitazone for Actos®, and Quetiapine Fumarate generic equivalent for Seroquel®. 

The changes to the number of formularies covering these medications looks as follows:

Count of 2013 Formularies covering the Top 10 Medicare Drugs Program wide
    Formulary Count*
NDC Drug Name 2012 Start** 2012 End** 2013 Start*** Jan. April May June July Aug.
00430047203 ACTONEL 35 MG 36 DOSE PACK 0 218 229 227 214        
64764030116 ACTOS 30MG TABLET (500 CT) 286 283 312 313 1        
64764030115 ACTOS 30MG/1 TABLET (90 CT)         292        
00173069600 ADVAIR DISKUS MIS 250/50 249 276 300 301 282        
63304082790 ATORVASTATIN 10 MG TABLET [Lipitor] 0 280 312 313 294        
00378362777 CLOPIDOGREL TAB 75MG [Plavix] 0 272 299 300 293        
00078031534 DIOVAN HCT 160/12.5MG TABLET 276 274 232 234 228        
00093585101 ESCITALOPRAM 10 MG TABLET [Lexapro] 0 262 297 298 293        
00088222033 LANTUS 100U/ML VIAL 284 280 306 307 287        
00456201001 LEXAPRO 10MG TABLET 237 156 92 91 79        
00071015523 LIPITOR 10MG TABLET 225 138 67 66 65        
00186504054 NEXIUM 40MG CAPSULE 199 196 182 180 182        
00378022893 PIOGLITAZONE HCL 30 MG TABLET         266        
63653117105 PLAVIX 75MG TABLET 287 258 114 112 103        
47335090288 QUETIAPINE FUMARATE 25 MG TAB [SEROQUEL] 0 271 292 293 286        
00310027510 SEROQUEL 25MG TABLET 282 198 116 114 103        

*The formulary counts include both stand-alone prescription drug plans (PDP) and Medicare Advantage plans (MAPD) in all states and the U.S. territories.
**Initial (start) 2012 CMS formulary dataset dated October, 2011. The ending 2012 CMS formulary dataset dated September, 2012.
***Initial 2013 CMS formulary dataset dated October, 2012

You can review any Medicare plan formulary using the Q1Medicare.com FormularyBrowser at Q1Medicare.com/FormularyBrowser or compare how any medication is covered on all Medicare plans in your service area using our Q1Medicare.com/DrugFinder.

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